Eye Health Issues for the Elderly

S. Barry Eiden, OD, FAAO
President and Medical Director of North Suburban Vision Consultants, Ltd.

www.nsvc.com/blog

With the aging of our population we are faced with increasing challenges regarding the ongoing eye health of our senior citizens. Although there are significant and potentially devastating eye diseases that particularly afflict the elderly, advances in medical technology are allowing eye specialists to diagnose and treat these diseases earlier and much more effectively. More exciting is the potential to eventually prevent these diseases. I would like to review some of the most common eye health issues that face us as we age and how we are addressing them. The future looks bright for us in this regard. We can hope and expect to experience the visual wonders of our world well into our golden years!

Cataracts

Internally within our eye, located just behind the colored iris is a crystalline focusing lens. When this lens develops cloudiness, translucencies, and opacities we call them cataracts. If significant enough the cataracts will blur vision, they can cause increased glare symptoms, and can reduce vision significantly if more advanced. Early cataract development typically induces frequent changes in glasses prescription, but still allows light to focus well. As the cataracts progress over time they will eventually reduce vision and can not be corrected by changing glasses prescriptions. It is then that surgery is required to remove the cloudy crystalline lens and replace it with a synthetic implant lens. Cataract surgery is the most commonly performed surgery in the United States for people over 65 years of age. Over 1.5 million cataract surgeries are performed each year!

Cataracts can result from many causes. By far the most common cause is simple aging of the internal lens. Biochemical changes associated with the aging process cause the internal lens to loose its clarity. As such, age related cataracts are not actually a disease, but a normal aging process just like the graying of our hair or wrinkling of our skin. Other causes of cataract include; eye trauma, effects of certain drugs, effects of some medical conditions/diseases, and even congenital cataracts occur in babies.

There have been many advancements in cataract treatment recently. Today the surgery is quite minimally invasive and is performed as an outpatient procedure under topical anesthesia. Patients regain clear vision after surgery within a matter of a few days or less! Gone are the days of eye patches and bed rest following cataract surgery. Today the accuracy of calculating the power of the implant allows us to virtually predict the visual outcome for our patients. It truly has become a refractive procedure similar to LASIK laser eye surgery in that we can target vision correction prior to surgery. If one desires to have clear vision far and only use reading glasses after cataract surgery, we can do this! We have the ability to correct astigmatism with implants and now even implant bifocal/multifocal lenses that have allowed many of patients to eliminate the need for glasses altogether!

What about the concept of cataract treatment without surgery and possible prevention? Well research is going on all over the world in this regard. Initial outcomes from some studies have shown some promise in finding the route cause of age related cataracts and therefore the next logical outcome will be methods to prevent their formation. As of today we can say that certain environmental conditions may increase our risk to develop cataract. Exposure to UV light is a risk factor for cataracts as is smoking. A recent study from Harvard University Women’s Hospital showed that certain nutritional elements were in low concentration in patients who developed cataracts. These include lutein and zeaxantan. However vitamin C, and E have not been noted to help prevent cataracts. Much more research is needed and is going on.

Macular Degeneration

The macula is the central area of the retina. It has the highest concentration of light sensitive photoreceptors and as such provides us with our central vision detail. When we look at something (reading, watching TV, driving, even looking at someone’s face) we aim our eyes to but the target in the macula.

Macular degeneration is a group of diseases that result in damage to the macula. The most common form of macular degeneration is age related macular degeneration (ARMD). This disease afflicts people over 55 to 60 years of age and is the most common cause of legal blindness in the elderly. Understand that legal blindness only refers to a loss of visual acuity (seeing letters on an eye chart) or a loss of a specific amount of peripheral vision. In macular degeneration only central vision is affected, there is no impact on peripheral vision. As such, people with ARMD (even severe forms) never become totally blind. In fact they maintain quite good mobility and get around quite well. They simply can not see central detail. This has great impact on one’s life. In some cases it results in the lack of ability to read, see detail on TV, loss of driving ability, etc. It can range in severity from almost no impact on vision all the way up to severe central vision loss. Those persons with advanced ARMD often loose independent living functions and may even suffer from depression as a result. There are two basic forms of ARMD. The first and most common is the dry or atrophic form where cells in the macula degenerate gradually with associated central vision loss. The second form is the wet form or exudative form of ARMD. This form is typically acute in onset and has hemorrhage and other retinal fluid leakage associated with it. Both forms can be severe, however the dry form can be quite mild in many patients.

Treatment for macular degeneration continues to progress and today we can not only halt progression of the disease for many patients, but in some cases actually reverse the disease to some degree. Most of the effective treatment methods used today are indicated only for the wet form of ARMD, however we are continuing to conduct research on treatments for dry ARMD as well. The most advanced therapy used today involves the injection of drugs into the eye to inhibit the leakage and abnormal blood vessel growth associated with wet ARMD. Many patients have done well with these anti-VEGF injections, unfortunately the majority of ARMD patients still are waiting for effective treatments. The future appears bright in consideration of the research going on.

Most importantly we need to determine how to prevent ARMD. The key likely is in understanding the underlying processes that result in ARMD. Our knowledge in this area is expanding exponentially. Today we have been able to identify various risk factors for ARMD. Some of them are modifiable and as such we can do something about them. Key ARMD risk factors include; family history of the disease, exposure to UV, smoking, obesity, and the levels of protective photopigments in the macula. Two key photopigments (lutein and zeaxanthan) naturally are located in the macula. They serve to protect the macula from phototoxic effects of short wavelength light and the degenerative effects of free radical accumulation. People gain these photopigments from their diet. Foods high in these elements include dark green leafy vegetables such as spinach and collard greens (among others). Today we can measure the levels of protective photopigments in the macula. For those who have low levels we can increase them by diet modifications and the use of supplements that contain high levels of them.

Our future looks bright for both the treatment of macular degeneration and its ultimate prevention.

Glaucoma

Glaucoma is an eye disease that damages the optic nerve. It is associated with internal fluid eye pressure that is higher than the optic nerve can tolerate. Glaucoma is generally an insidious disease in that it is slowly progressive yet has virtually no symptoms until the disease is advanced. At that point vision is severely reduced and treatment is not very effective. Glaucoma if not diagnosed and treated can result in total blindness. This is why it is critical to diagnose glaucoma in its early phases, before symptoms develop and when treatment is highly effective. The good news is that today we are able to diagnose glaucoma at very early stages and our treatments are excellent. In my view there virtually is no reason why a person who receives good quality eye care today should ever loose vision from glaucoma.

Vision loss from glaucoma typically effects peripheral vision first and ultimately effects central vision resulting in blindness. Early diagnosis and treatment is key in the prevention of glaucoma related vision loss. Although glaucoma can afflict people of all age groups, the most common form of glaucoma (primary open angle glaucoma) is far more common as one ages and rarely is found in people under the age of 40.

By new methods of risk factor assessment for glaucoma we now can institute treatment in a preventative way, thus avoiding loss of vision. We have amazing new and highly sensitive diagnostic tests that can detect the most subtle influences of glaucoma on the eye and vision system. When we detect such changes or determine that significant risk factors exist for glaucoma development we will begin treatment. Current glaucoma treatment is primarily conducted with topical eye drop medications. Well over 95% of our patients are successfully managed with these drops. Today’s glaucoma drops are safer, have far fewer side effects, and are used much less frequently each day (typically one drop per day for most patients) when compared to glaucoma treatments used years ago. New research is allowing us to better understand the mechanisms behind glaucoma along with the strong genetic components associated with the disease. New drugs are continually being developed along with laser treatments, surgical methods, and also the potential for genetic manipulations to prevent the disease.

We have reviewed three of the most common eye health conditions that affect the elderly (cataract, macular degeneration, and glaucoma). Many other eye diseases exist that are associated with older individuals. Research is allowing your eye doctors to diagnose these diseases at earlier phases, institute more effective treatments, and to also discover how to prevent them. The most important thing you can do is to see your eye doctor regularly. He or she will provide you with care based on the most up to date information and technology.

For more information on diseases that effect the elderly and much more eye and vision related information please visit our website at www.nsvc.com and our practice blog at www.nsvc.com/blog.

 

 

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  85. When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get three e-mails with the same comment. Is there any way you can remove people from that service? Thanks!

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  90. Hi are using WordPress for your site platform? I’m new to the blog world but I’m trying to get started and set up my own. Do you need any coding knowledge to make your own blog? Any help would be really appreciated!

  91. Hello! This is kind of off topic but I need some advice from an established blog. Is it tough to set up your own blog? I’m not very techincal but I can figure things out pretty quick. I’m thinking about making my own but I’m not sure where to start. Do you have any ideas or suggestions? Thanks

  92. Hello! Quick question that’s totally off topic. Do you know how to make your site mobile friendly? My blog looks weird when browsing from my iphone4. I’m trying to find a theme or plugin that might be able to resolve this issue. If you have any suggestions, please share. Thanks!

  93. I am curious to find out what blog system you’re utilizing? I’m experiencing some small security issues with my latest website and I would like to find something more safe. Do you have any recommendations?

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  95. Have you ever considered writing an e-book or guest authoring on other blogs? I have a blog based upon on the same information you discuss and would really like to have you share some stories/information. I know my audience would enjoy your work. If you are even remotely interested, feel free to shoot me an e mail.

  96. Today, I went to the beach with my kids. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is totally off topic but I had to tell someone!

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  100. Howdy! I know this is kinda off topic but I was wondering if you knew where I could get a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having problems finding one? Thanks a lot!

  101. Greetings! I know this is kinda off topic but I was wondering which blog platform are you using for this website? I’m getting sick and tired of WordPress because I’ve had problems with hackers and I’m looking at alternatives for another platform. I would be great if you could point me in the direction of a good platform.

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  103. Hey there! I know this is kind of off topic but I was wondering which blog platform are you using for this website? I’m getting sick and tired of WordPress because I’ve had issues with hackers and I’m looking at alternatives for another platform. I would be awesome if you could point me in the direction of a good platform.

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  105. I know this if off topic but I’m looking into starting my own weblog and was wondering what all is required to get setup? I’m assuming having a blog like yours would cost a pretty penny? I’m not very web savvy so I’m not 100% sure. Any suggestions or advice would be greatly appreciated. Kudos

  106. Have you ever considered creating an e-book or guest authoring on other blogs? I have a blog based upon on the same ideas you discuss and would love to have you share some stories/information. I know my visitors would enjoy your work. If you are even remotely interested, feel free to send me an email.

  107. Have you ever considered writing an ebook or guest authoring on other sites? I have a blog based upon on the same subjects you discuss and would really like to have you share some stories/information. I know my visitors would appreciate your work. If you’re even remotely interested, feel free to shoot me an e mail.

  108. Hey there! This post couldn’t be written any better! Reading through this post reminds me of my good old room mate! He always kept talking about this. I will forward this article to him. Pretty sure he will have a good read. Thank you for sharing!

  109. I am really enjoying the theme/design of your website. Do you ever run into any internet browser compatibility problems? A number of my blog visitors have complained about my blog not operating correctly in Explorer but looks great in Chrome. Do you have any suggestions to help fix this problem?

  110. Heya just wanted to give you a brief heads up and let you know a few of the images aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different browsers and both show the same outcome.

  111. Hello! I know this is kinda off topic but I’d figured I’d ask. Would you be interested in exchanging links or maybe guest authoring a blog article or vice-versa? My website covers a lot of the same subjects as yours and I believe we could greatly benefit from each other. If you happen to be interested feel free to send me an e-mail. I look forward to hearing from you! Terrific blog by the way!

  112. Have you ever considered writing an ebook or guest authoring on other websites? I have a blog based upon on the same ideas you discuss and would love to have you share some stories/information. I know my visitors would enjoy your work. If you are even remotely interested, feel free to shoot me an email.

  113. Hi are using WordPress for your site platform? I’m new to the blog world but I’m trying to get started and set up my own. Do you require any html coding knowledge to make your own blog? Any help would be really appreciated!

  114. When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get several emails with the same comment. Is there any way you can remove me from that service? Thank you!

  115. I know this if off topic but I’m looking into starting my own weblog and was curious what all is required to get set up? I’m assuming having a blog like yours would cost a pretty penny? I’m not very internet savvy so I’m not 100% positive. Any suggestions or advice would be greatly appreciated. Cheers

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  117. Hey there this is kind of of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding experience so I wanted to get advice from someone with experience. Any help would be enormously appreciated!

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  119. When I initially commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get several e-mails with the same comment. Is there any way you can remove people from that service? Thanks a lot!

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  122. Have you ever thought about publishing an e-book or guest authoring on other websites? I have a blog based on the same information you discuss and would really like to have you share some stories/information. I know my visitors would enjoy your work. If you are even remotely interested, feel free to send me an e mail.

  123. My developer is trying to convince me to move to .net from PHP. I have always disliked the idea because of the expenses. But he’s tryiong none the less. I’ve been using WordPress on a variety of websites for about a year and am anxious about switching to another platform. I have heard excellent things about blogengine.net. Is there a way I can import all my wordpress posts into it? Any kind of help would be greatly appreciated!

  124. Hey there just wanted to give you a quick heads up. The text in your content seem to be running off the screen in Safari. I’m not sure if this is a formatting issue or something to do with web browser compatibility but I figured I’d post to let you know. The design and style look great though! Hope you get the problem fixed soon. Kudos

  125. First of all I want to say excellent blog! I had a quick question in which I’d like to ask if you don’t mind. I was curious to find out how you center yourself and clear your thoughts prior to writing. I’ve had a hard time clearing my thoughts in getting my ideas out there. I truly do enjoy writing but it just seems like the first 10 to 15 minutes tend to be lost just trying to figure out how to begin. Any recommendations or hints? Kudos!

  126. With havin so much content do you ever run into any problems of plagorism or copyright infringement? My blog has a lot of unique content I’ve either authored myself or outsourced but it seems a lot of it is popping it up all over the internet without my agreement. Do you know any solutions to help prevent content from being stolen? I’d truly appreciate it.

  127. Great blog! Is your theme custom made or did you download it from somewhere? A theme like yours with a few simple tweeks would really make my blog jump out. Please let me know where you got your design. Thank you

  128. Please let me know if you’re looking for a author for your blog. You have some really good posts and I believe I would be a good asset. If you ever want to take some of the load off, I’d absolutely love to write some articles for your blog in exchange for a link back to mine. Please shoot me an e-mail if interested. Many thanks!

  129. Thank you, I’ve just been looking for information about this topic for ages and yours is the best I have discovered till now. But, what about the bottom line? Are you sure about the source?

  130. I’m truly enjoying the design and layout of your site. It’s a very easy on the eyes which makes it much more pleasant for me to come here and visit more often. Did you hire out a developer to create your theme? Superb work!

  131. Today, while I was at work, my cousin stole my apple ipad and tested to see if it can survive a thirty foot drop, just so she can be a youtube sensation. My iPad is now destroyed and she has 83 views. I know this is completely off topic but I had to share it with someone!

  132. Greetings! I know this is somewhat off topic but I was wondering which blog platform are you using for this site? I’m getting tired of WordPress because I’ve had problems with hackers and I’m looking at alternatives for another platform. I would be awesome if you could point me in the direction of a good platform.

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  135. My developer is trying to convince me to move to .net from PHP. I have always disliked the idea because of the expenses. But he’s tryiong none the less. I’ve been using Movable-type on various websites for about a year and am nervous about switching to another platform. I have heard excellent things about blogengine.net. Is there a way I can transfer all my wordpress content into it? Any kind of help would be greatly appreciated!

  136. Hello, i read your blog from time to time and i own a similar one and i was just wondering if you get a lot of spam responses? If so how do you protect against it, any plugin or anything you can recommend? I get so much lately it’s driving me crazy so any support is very much appreciated.

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  138. With havin so much written content do you ever run into any issues of plagorism or copyright violation? My blog has a lot of completely unique content I’ve either created myself or outsourced but it seems a lot of it is popping it up all over the web without my agreement. Do you know any techniques to help reduce content from being ripped off? I’d certainly appreciate it.

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  140. Have you ever thought about including a little bit more than just your articles? I mean, what you say is important and all. However think of if you added some great graphics or video clips to give your posts more, “pop”! Your content is excellent but with images and video clips, this blog could definitely be one of the most beneficial in its field. Great blog!

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  147. Hello just wanted to give you a quick heads up. The words in your content seem to be running off the screen in Safari. I’m not sure if this is a format issue or something to do with browser compatibility but I figured I’d post to let you know. The design and style look great though! Hope you get the issue fixed soon. Thanks

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  152. Hey there! I know this is kinda off topic however , I’d figured I’d ask. Would you be interested in exchanging links or maybe guest authoring a blog article or vice-versa? My website goes over a lot of the same subjects as yours and I believe we could greatly benefit from each other. If you might be interested feel free to shoot me an e-mail. I look forward to hearing from you! Wonderful blog by the way!

  153. Hi just wanted to give you a quick heads up and let you know a few of the images aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different browsers and both show the same outcome.

  154. Heya just wanted to give you a quick heads up and let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different web browsers and both show the same results.

  155. I do not know if it’s just me or if everyone else experiencing issues with your website. It looks like some of the written text within your content are running off the screen. Can someone else please provide feedback and let me know if this is happening to them as well? This might be a issue with my browser because I’ve had this happen before. Kudos

  156. Excellent blog! Do you have any hints for aspiring writers? I’m hoping to start my own blog soon but I’m a little lost on everything. Would you recommend starting with a free platform like WordPress or go for a paid option? There are so many options out there that I’m completely confused .. Any recommendations? Bless you!

  157. Hello there! I know this is kinda off topic however I’d figured I’d ask. Would you be interested in trading links or maybe guest authoring a blog article or vice-versa? My blog discusses a lot of the same subjects as yours and I think we could greatly benefit from each other. If you happen to be interested feel free to shoot me an e-mail. I look forward to hearing from you! Wonderful blog by the way!

  158. Have you ever thought about including a little bit more than just your articles? I mean, what you say is important and everything. But just imagine if you added some great photos or video clips to give your posts more, “pop”! Your content is excellent but with pics and videos, this website could definitely be one of the most beneficial in its niche. Very good blog!

  159. Please let me know if you’re looking for a article author for your site. You have some really good articles and I think I would be a good asset. If you ever want to take some of the load off, I’d love to write some material for your blog in exchange for a link back to mine. Please send me an e-mail if interested. Regards!

  160. I do not know whether it’s just me or if perhaps everyone else experiencing issues with your website. It seems like some of the text on your content are running off the screen. Can somebody else please provide feedback and let me know if this is happening to them as well? This might be a problem with my browser because I’ve had this happen previously. Thanks

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  162. Great blog! Is your theme custom made or did you download it from somewhere? A theme like yours with a few simple adjustements would really make my blog stand out. Please let me know where you got your design. Thanks a lot

  163. I’m not sure why but this web site is loading incredibly slow for me. Is anyone else having this issue or is it a problem on my end? I’ll check back later on and see if the problem still exists.

  164. Hi there, i read your blog occasionally and i own a similar one and i was just wondering if you get a lot of spam comments? If so how do you protect against it, any plugin or anything you can recommend? I get so much lately it’s driving me crazy so any assistance is very much appreciated.

  165. When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get four e-mails with the same comment. Is there any way you can remove people from that service? Thank you!

  166. Hmm it appears like your site ate my first comment (it was super long) so I guess I’ll just sum it up what I submitted and say, I’m thoroughly enjoying your blog. I as well am an aspiring blog writer but I’m still new to the whole thing. Do you have any suggestions for inexperienced blog writers? I’d genuinely appreciate it.

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  173. Hi there! This is my 1st comment here so I just wanted to give a quick shout out and say I truly enjoy reading your articles. Can you suggest any other blogs/websites/forums that deal with the same topics? Thanks for your time!

  174. With havin so much content and articles do you ever run into any problems of plagorism or copyright infringement? My blog has a lot of exclusive content I’ve either created myself or outsourced but it looks like a lot of it is popping it up all over the web without my agreement. Do you know any solutions to help stop content from being ripped off? I’d truly appreciate it.

  175. I do not know if it’s just me or if perhaps everyone else experiencing problems with your website. It seems like some of the text in your posts are running off the screen. Can someone else please provide feedback and let me know if this is happening to them too? This might be a issue with my internet browser because I’ve had this happen before. Many thanks

  176. Hello! This is kind of off topic but I need some guidance from an established blog. Is it hard to set up your own blog? I’m not very techincal but I can figure things out pretty quick. I’m thinking about creating my own but I’m not sure where to begin. Do you have any ideas or suggestions? Appreciate it

  177. First off I want to say terrific blog! I had a quick question in which I’d like to ask if you don’t mind. I was curious to know how you center yourself and clear your mind before writing. I’ve had difficulty clearing my thoughts in getting my thoughts out there. I truly do take pleasure in writing however it just seems like the first 10 to 15 minutes are usually lost simply just trying to figure out how to begin. Any suggestions or tips? Kudos!

  178. Have you ever considered writing an e-book or guest authoring on other sites? I have a blog based on the same subjects you discuss and would love to have you share some stories/information. I know my subscribers would enjoy your work. If you’re even remotely interested, feel free to send me an e-mail.

  179. I haven’t checked in here for a while as I thought it was getting boring, but the last few posts are great quality so I guess I will add you back to my daily bloglist. You deserve it my friend :)

  180. My coder is trying to convince me to move to .net from PHP. I have always disliked the idea because of the expenses. But he’s tryiong none the less. I’ve been using Movable-type on numerous websites for about a year and am worried about switching to another platform. I have heard excellent things about blogengine.net. Is there a way I can import all my wordpress content into it? Any kind of help would be greatly appreciated!

  181. Fantastic site you have here but I was curious about if you knew of any forums that cover the same topics discussed here? I’d really like to be a part of online community where I can get feed-back from other knowledgeable people that share the same interest. If you have any recommendations, please let me know. Cheers!

  182. Hey this is kinda of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding skills so I wanted to get advice from someone with experience. Any help would be greatly appreciated!

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  184. Hi there, i read your blog occasionally and i own a similar one and i was just wondering if you get a lot of spam feedback? If so how do you stop it, any plugin or anything you can suggest? I get so much lately it’s driving me insane so any support is very much appreciated.

  185. First of all I want to say excellent blog! I had a quick question which I’d like to ask if you do not mind. I was interested to know how you center yourself and clear your head before writing. I have had trouble clearing my mind in getting my thoughts out there. I truly do enjoy writing however it just seems like the first 10 to 15 minutes are usually lost just trying to figure out how to begin. Any suggestions or hints? Thank you!

  186. Howdy! I realize this is kind of off-topic however I had to ask. Does managing a well-established website like yours take a massive amount work? I’m completely new to operating a blog however I do write in my diary everyday. I’d like to start a blog so I can share my experience and feelings online. Please let me know if you have any kind of recommendations or tips for new aspiring bloggers. Appreciate it!

  187. Greetings! I know this is somewhat off topic but I was wondering if you knew where I could find a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having difficulty finding one? Thanks a lot!

  188. I absolutely love your blog and find nearly all of your post’s to be just what I’m looking for. Would you offer guest writers to write content in your case? I wouldn’t mind producing a post or elaborating on a number of the subjects you write related to here. Again, awesome web log!

  189. I was curious if you ever thought of changing the layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or 2 images. Maybe you could space it out better?

  190. Hello just wanted to give you a quick heads up. The words in your content seem to be running off the screen in Safari. I’m not sure if this is a formatting issue or something to do with web browser compatibility but I thought I’d post to let you know. The layout look great though! Hope you get the issue solved soon. Thanks

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  234. Hello there! Quick question that’s entirely off topic. Do you know how to make your site mobile friendly? My blog looks weird when browsing from my iphone. I’m trying to find a theme or plugin that might be able to resolve this problem. If you have any suggestions, please share. With thanks!

  235. I love your blog.. very nice colors & theme. Did you design this website yourself or did you hire someone to do it for you? Plz answer back as I’m looking to create my own blog and would like to find out where u got this from. thanks a lot

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  238. Hey there! I understand this is somewhat off-topic but I needed to ask. Does building a well-established blog like yours require a large amount of work? I am completely new to writing a blog but I do write in my diary everyday. I’d like to start a blog so I can easily share my personal experience and views online. Please let me know if you have any kind of ideas or tips for new aspiring blog owners. Appreciate it!

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  246. Today, I went to the beach front with my children. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is completely off topic but I had to tell someone!

  247. Have you ever considered about adding a little bit more than just your articles? I mean, what you say is important and all. But think about if you added some great pictures or video clips to give your posts more, “pop”! Your content is excellent but with images and clips, this website could certainly be one of the best in its niche. Good blog!

  248. Hi there! This is kind of off topic but I need some advice from an established blog. Is it difficult to set up your own blog? I’m not very techincal but I can figure things out pretty fast. I’m thinking about making my own but I’m not sure where to start. Do you have any ideas or suggestions? Thanks

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  251. Howdy! I know this is somewhat off topic but I was wondering if you knew where I could find a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having trouble finding one? Thanks a lot!

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  284. Today, I went to the beach with my kids. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is totally off topic but I had to tell someone!

  285. Hi just wanted to give you a brief heads up and let you know a few of the images aren’t loading properly. I’m not sure why but I think its a linking issue. I’ve tried it in two different internet browsers and both show the same outcome.

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  287. Hello! This is kind of off topic but I need some advice from an established blog. Is it difficult to set up your own blog? I’m not very techincal but I can figure things out pretty fast. I’m thinking about making my own but I’m not sure where to begin. Do you have any tips or suggestions? Thanks

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  296. I was curious if you ever thought of changing the structure of your blog? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or 2 pictures. Maybe you could space it out better?

  297. My programmer is trying to persuade me to move to .net from PHP. I have always disliked the idea because of the costs. But he’s tryiong none the less. I’ve been using Movable-type on a number of websites for about a year and am worried about switching to another platform. I have heard fantastic things about blogengine.net. Is there a way I can transfer all my wordpress content into it? Any kind of help would be really appreciated!

  298. Hi terrific blog! Does running a blog such as this take a massive amount work? I have virtually no knowledge of coding but I had been hoping to start my own blog soon. Anyhow, should you have any recommendations or techniques for new blog owners please share. I know this is off topic but I simply wanted to ask. Many thanks!

  299. Hmm it seems like your blog ate my first comment (it was super long) so I guess I’ll just sum it up what I submitted and say, I’m thoroughly enjoying your blog. I too am an aspiring blog blogger but I’m still new to the whole thing. Do you have any tips for first-time blog writers? I’d definitely appreciate it.

  300. Today, I went to the beachfront with my children. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is entirely off topic but I had to tell someone!

  301. Interesting blog! Is your theme custom made or did you download it from somewhere? A theme like yours with a few simple adjustements would really make my blog jump out. Please let me know where you got your theme. Thank you

  302. Hello just wanted to give you a quick heads up. The words in your content seem to be running off the screen in Safari. I’m not sure if this is a format issue or something to do with browser compatibility but I figured I’d post to let you know. The design look great though! Hope you get the issue resolved soon. Thanks

  303. Hi there! I realize this is kind of off-topic however I needed to ask. Does running a well-established blog such as yours take a massive amount work? I am brand new to blogging but I do write in my diary on a daily basis. I’d like to start a blog so I will be able to share my own experience and thoughts online. Please let me know if you have any kind of ideas or tips for brand new aspiring blog owners. Thankyou!

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  305. I’m not sure exactly why but this web site is loading incredibly slow for me. Is anyone else having this problem or is it a issue on my end? I’ll check back later and see if the problem still exists.

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  307. First of all I want to say terrific blog! I had a quick question in which I’d like to ask if you don’t mind. I was interested to find out how you center yourself and clear your mind before writing. I have had a hard time clearing my thoughts in getting my ideas out there. I do enjoy writing but it just seems like the first 10 to 15 minutes are usually lost just trying to figure out how to begin. Any recommendations or tips? Kudos!

  308. I am really enjoying the theme/design of your blog. Do you ever run into any web browser compatibility issues? A few of my blog audience have complained about my blog not operating correctly in Explorer but looks great in Chrome. Do you have any tips to help fix this issue?

  309. Hmm is anyone else encountering problems with the pictures on this blog loading? I’m trying to determine if its a problem on my end or if it’s the blog. Any feed-back would be greatly appreciated.

  310. Wonderful blog! Do you have any helpful hints for aspiring writers? I’m planning to start my own site soon but I’m a little lost on everything. Would you recommend starting with a free platform like WordPress or go for a paid option? There are so many choices out there that I’m totally overwhelmed .. Any suggestions? Thanks a lot!

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  313. Hello! I know this is kind of off topic but I was wondering which blog platform are you using for this website? I’m getting sick and tired of WordPress because I’ve had problems with hackers and I’m looking at options for another platform. I would be fantastic if you could point me in the direction of a good platform.

  314. I am really loving the theme/design of your blog. Do you ever run into any internet browser compatibility issues? A few of my blog audience have complained about my blog not operating correctly in Explorer but looks great in Chrome. Do you have any advice to help fix this issue?

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  316. Have you ever considered creating an e-book or guest authoring on other websites? I have a blog based on the same subjects you discuss and would really like to have you share some stories/information. I know my audience would enjoy your work. If you are even remotely interested, feel free to shoot me an e mail.

  317. Good day! Do you know if they make any plugins to assist with SEO? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good gains. If you know of any please share. Thanks!

  318. When I initially commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get four e-mails with the same comment. Is there any way you can remove me from that service? Many thanks!

  319. Hi there would you mind letting me know which hosting company you’re utilizing? I’ve loaded your blog in 3 completely different web browsers and I must say this blog loads a lot faster then most. Can you recommend a good web hosting provider at a reasonable price? Thanks a lot, I appreciate it!

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  322. Whats up this is kind of of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding knowledge so I wanted to get guidance from someone with experience. Any help would be enormously appreciated!

  323. Hi! I know this is kind of off topic but I was wondering if you knew where I could get a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having problems finding one? Thanks a lot!

  324. I’m really loving the theme/design of your blog. Do you ever run into any internet browser compatibility problems? A few of my blog visitors have complained about my blog not working correctly in Explorer but looks great in Safari. Do you have any recommendations to help fix this issue?

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  326. Hi would you mind letting me know which hosting company you’re working with? I’ve loaded your blog in 3 different web browsers and I must say this blog loads a lot quicker then most. Can you recommend a good hosting provider at a reasonable price? Thank you, I appreciate it!

  327. Hello just wanted to give you a quick heads up. The text in your content seem to be running off the screen in Chrome. I’m not sure if this is a formatting issue or something to do with web browser compatibility but I figured I’d post to let you know. The layout look great though! Hope you get the issue resolved soon. Thanks

  328. Hey there just wanted to give you a quick heads up and let you know a few of the images aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different internet browsers and both show the same results.

  329. Hey! I know this is kinda off topic however , I’d figured I’d ask. Would you be interested in exchanging links or maybe guest writing a blog article or vice-versa? My blog discusses a lot of the same topics as yours and I feel we could greatly benefit from each other. If you might be interested feel free to send me an email. I look forward to hearing from you! Wonderful blog by the way!

  330. I’m truly enjoying the design and layout of your blog. It’s a very easy on the eyes which makes it much more pleasant for me to come here and visit more often. Did you hire out a designer to create your theme? Excellent work!

  331. Have you ever thought about creating an e-book or guest authoring on other websites? I have a blog based on the same subjects you discuss and would really like to have you share some stories/information. I know my subscribers would appreciate your work. If you’re even remotely interested, feel free to shoot me an e-mail.

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  333. Hello would you mind sharing which blog platform you’re using? I’m planning to start my own blog in the near future but I’m having a tough time choosing between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your design and style seems different then most blogs and I’m looking for something completely unique. P.S My apologies for being off-topic but I had to ask!

  334. Howdy this is kind of of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding skills so I wanted to get advice from someone with experience. Any help would be greatly appreciated!

  335. I know this if off topic but I’m looking into starting my own blog and was curious what all is needed to get set up? I’m assuming having a blog like yours would cost a pretty penny? I’m not very internet savvy so I’m not 100% sure. Any suggestions or advice would be greatly appreciated. Thank you

  336. Cool blog! Is your theme custom made or did you download it from somewhere? A theme like yours with a few simple tweeks would really make my blog jump out. Please let me know where you got your design. Appreciate it

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  339. Hello! I just wanted to ask if you ever have any problems with hackers? My last blog (wordpress) was hacked and I ended up losing a few months of hard work due to no backup. Do you have any methods to prevent hackers?

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  373. Hi there! Quick question that’s completely off topic. Do you know how to make your site mobile friendly? My blog looks weird when browsing from my iphone 4. I’m trying to find a template or plugin that might be able to correct this issue. If you have any recommendations, please share. Cheers!

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  380. Hi there! I just wanted to ask if you ever have any issues with hackers? My last blog (wordpress) was hacked and I ended up losing months of hard work due to no back up. Do you have any solutions to stop hackers?

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  382. I’m really enjoying the theme/design of your weblog. Do you ever run into any browser compatibility problems? A number of my blog audience have complained about my website not operating correctly in Explorer but looks great in Safari. Do you have any suggestions to help fix this problem?

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